Individual provider Active NPI

Christine Rose Laslo, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Wexford, PA
National Provider Identifier
1053444059
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL004018L Issued in PA
Practice address
Rehabcare, 5500 Brooktree Road
Suite 102
Wexford, PA 15090-9260
Phone
(724) 940-3468
Fax
(724) 940-3969
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL004018L PA Primary

Addresses

Primary practice location

Rehabcare, 5500 Brooktree Road
Suite 102
Wexford, PA 15090-9260

Mailing address

312 Sanrue Drive
Johnstown, PA 15904-3642
Phone (814) 467-0060

Other identifiers 1

IdentifierTypeStateIssuer
1016208270002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SL004018LPAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053444059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SANRUE DRIVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043642",
            "telephone_number": "814-467-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REHABCARE, 5500 BROOKTREE ROAD",
            "address_2": "SUITE 102",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "724-940-3468",
            "fax_number": "724-940-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASLO",
        "first_name": "CHRISTINE",
        "middle_name": "ROSE",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL004018L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016208270002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.